| NPI | 1639780877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01939800) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-06-07 |